Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Kansas for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Kansas only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Kansas (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Heartland Medical Clinic, Inc. (NPI 1487107447)

Field	Value
Entity Type	Organization
Organization	Heartland Medical Clinic, Inc.
Address	1312 W 6th St
City	Lawrence
State	KS
ZIP	66044
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	July 26, 2016

Payer Source	Total Paid
Medicaid	$8M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

55 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	7,870	$200	$1.6M
D1208	Topical application of fluoride - excluding varnish	16,380	$90	$1.4M
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	4,290	$230	$970.4K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	3,590	$240	$875.5K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	3,350	$240	$796.8K
D0150	Comprehensive oral evaluation – new or established patient	2,630	$150	$405.5K
D2392	Post 2 surface resin‑based composite	2,260	$180	$401.4K
D0330	N/A	1,740	$220	$386.7K
D0120	Periodic oral evaluation - established patient	6,770	$30	$223.3K
D0140	Limited oral evaluation – problem focused	1,000	$170	$168.2K

Showing 1–10 of 55

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Kansas providers billing the same CPT/HCPCS codes.

Claims Volume vs. Kansas Distribution

Heartland Medical Clinic, Inc. — 1 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kansas

Full comparison — all codes billed, vs. Kansas median

55 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	228	1,050	560	$80	$266.8K
D1351	Sealant - per tooth	19	210	1,490	$20	$189.4K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	138	180	300	$100	$141.8K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	131	880	400	$60	$136K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	666	730	440	$80	$128.1K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	121	320	590	$30	$120.1K
D1120	Prophylaxis–child	27	360	540	$40	$108.9K
D2392	Post 2 surface resin‑based composite	26	190	330	$80	$107.8K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	91	130	340	$80	$107.5K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	153	280	320	$50	$87.5K

Showing 1–10 of 55

Related Providers

Other providers that share a Tax Identification Number (TIN) with Heartland Medical Clinic, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Heartland Medical Clinic, Inc	KS	Federally Qualified Health Center (FQHC)	$0	$11.4M
Jaima Becker	MO	Family Nurse Practitioner	$61.1K	$0

Nearby Providers

Other providers in the same ZIP code as Heartland Medical Clinic, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bert Nash Community Mental Health Center Inc	KS	Community/Behavioral Health Agency	$0	$28.8M
Oral Surgery Kansas, Lc	KS	Oral and Maxillofacial Surgery (Dentist)	$0	$19.1M
Bert Nash Community Mental Health Center Inc	KS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$15.7M
Lawrence Memorial Hospital	KS	General Acute Care Hospital	$0	$5.3M
Pediatric & Adolescent Medicine P.A.	KS	Pediatrics Physician	$0	$2.4M
Lawrence Pediatric Dentistry LLC	KS	Pediatric Dentistry	$0	$1.9M
Robert Gollier	KS	Dentist	$0	$1.5M
Benjamin Slane	KS	Radiation Oncology Physician	$1.1M	$0
Drs Price Young Odle & Horsch PA	KS	Optometrist	$0	$1.1M
Lawrence Emergency Medicine Associates,pa	KS	Emergency Medicine Physician	$0	$1.1M

Heartland Medical Clinic, Inc. — Billing Profile & Reimbursement Data

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Heartland Medical Clinic, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References